2021
DOI: 10.1016/j.jacep.2020.10.014
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Resource Use and Economic Implications of Remote Monitoring With Subcutaneous Cardiac Rhythm Monitors

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Cited by 14 publications
(61 citation statements)
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“…In a recent study of 1811 ICMs (over 90% Medtronic), with nearly 1500 total transmissions over a 4‐week period, 15 ± 6 min was spent by clinic personnel and 1.5 ± 1 min by electrophysiologists per transmission 12 . Based on the number of EGMs per transmission in that study, clinic personnel can be estimated to spend 0.6 min to review each EGM, plus a fixed time of 11.0 min per transmission for pre‐review preparation and post‐review record/patient processing, with an additional review time by electrophysiologists of 0.2 min per EGM.…”
Section: Discussionmentioning
confidence: 99%
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“…In a recent study of 1811 ICMs (over 90% Medtronic), with nearly 1500 total transmissions over a 4‐week period, 15 ± 6 min was spent by clinic personnel and 1.5 ± 1 min by electrophysiologists per transmission 12 . Based on the number of EGMs per transmission in that study, clinic personnel can be estimated to spend 0.6 min to review each EGM, plus a fixed time of 11.0 min per transmission for pre‐review preparation and post‐review record/patient processing, with an additional review time by electrophysiologists of 0.2 min per EGM.…”
Section: Discussionmentioning
confidence: 99%
“…The limit of 3 EGMs/day, according to the arrhythmia‐specific prioritization criteria described in the methods section, resulted in an optimal balance of maximal EGM burden reduction with minimal TP day reduction. For AF, the EGMs with the fastest mean rate, longest duration, and second longest duration were selected, as faster mean ventricular rates and longer durations are both more likely to be associated with true episodes, as recently reported in a similar study, 12 and more likely to be clinically valuable. For tachycardia, the EGMs with the fastest maximum rate, longest duration, and second longest duration were selected by the same rationale.…”
Section: Discussionmentioning
confidence: 99%
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“…In a recent study of 1,811 ICMs (over 90% Medtronic), with nearly 1,500 total transmissions over a 4-week period, 15 ± 6 min was spent by clinic personnel and 1.5 ± 1 min by electrophysiologists per transmission. 11 Based on the number of EGMs per transmission in that study, clinic personnel can be estimated to spend 0.6 min to review each EGM, plus a fixed time of 11.0 min per transmission for pre-review preparation and post-review record/patient processing, with an additional review time by electrophysiologists of 0.2 min per EGM. Applying these estimates to the current study, in which the EGM burden was reduced by 55.1% while maintaining the number of transmissions, the expected time saved per 100 patients in this cohort would be 120 hours/year for clinic personnel (28.7% reduction) and 36 hours/year for electrophysiologists (55.1% reduction).…”
Section: Resource Utilization Benefitmentioning
confidence: 99%
“…The limit of 3 EGMs/day, according to the arrhythmia-specific prioritization criteria described in the methods section, resulted in an optimal balance of maximal EGM burden reduction with minimal TP day reduction. For AF, the EGMs with the fastest mean rate, longest duration, and 2 nd longest duration were selected, as faster mean ventricular rates and longer durations are both more likely to be associated with true episodes, as recently reported in a similar study 11 , and more likely to be clinically valuable. For tachycardia, the EGMs with the fastest maximum rate, longest duration, and 2 nd longest duration were selected by the same rationale.…”
Section: Rationale For Key Egm Selectionmentioning
confidence: 99%